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Sec. 2712 [42 Usc § 300gg-12] [hipaa] Guaranteed Renewability Of Coverage For Employers In The Group Market

机译:秒2712 [42 Usc§300gg-12] [hipaa]为集团市场中的雇主保证承保范围的可更新性

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(a) Except as provided in this section, if a health insurance issuer offers health insurance coverage in the small or large group market in connection with a group health plan, the issuer must renew or continue in force such coverage at the option of the plan sponsor of the plan.rn(b) A health insurance issuer may nonrenew or discontinue health insurance coverage offered in connection with a group health plan in the small or large group market based only on one or more of the following:rn(1) The plan sponsor has failed to pay premiums or contributions in accordance with the terms of the health insurance coverage or the issuer has not received timely premium payments.rn(2) The plan sponsor has performed an act or practice that constitutes fraud or made an intentional misrepresentation of material fact under the terms of the coverage.
机译:(a)除本节另有规定外,如果健康保险发行人提供与团体健康计划有关的小型或大型团体市场的健康保险,则发行人必须根据计划选择续签或继续有效该计划的发起人。(b)健康保险发行人仅可基于以下一项或多项,就小型或大型团体市场中的团体健康计划不续签或终止提供的医疗保险:计划发起人未按照健康保险条款支付保费或供款,或发行人未及时收到保费付款.rn(2)计划发起人的行径或作法构成欺诈或故意虚假陈述承保范围内的重大事实。

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    《Human resources management》 |2009年第328期|292-294|共3页
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